Friday, 5 August 2016

Modern Healthcare Breaking News

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UnitedHealth Group eliminating 115 positions in Optum business
Thursday, August 04, 2016 1:00 PM
UnitedHealth Group is laying off 115 employees in Avon Lake, Ohio, within its Optum business, which provides health information and technology services.


Advocate Health to pay largest HIPAA settlement
Thursday, August 04, 2016 12:40 PM
Advocate Health Care has agreed to pay $5.55 million to settle multiple data protection violations over the past three years, marking the largest Health Insurance Portability and Accountability Act settlement HHS has ever received.


CMS selects hospitals for rural health demonstration
Thursday, August 04, 2016 12:34 PM
The CMS has announced rural hospitals that will participate in a new demonstration known as the Frontier Community Health Integration Project. Hospitals involved in the demonstration will receive additional Medicare reimbursement for new services...


UnitedHealthcare challenges $58 billion Tricare contract loss
Thursday, August 04, 2016 12:32 PM
UnitedHealthcare will fight to continue providing health coverage for U.S. military members through Tricare after losing out on the Pentagon's 2017 contracts worth up to $58.2 billion to its top competitors.


Health systems are a candy shop of personal information
Thursday, August 04, 2016 12:26 PM
A breach at Banner Health has left cybersecurity experts wondering if the healthcare industry, which in the past few years has been hit mercilessly with cyberattacks and ransomware threats, now has another weak spot -- the point-of-sale system.


Dr. Christine Cassel receives Gail Warden leadership award
Thursday, August 04, 2016 12:18 PM
Dr. Christine Cassel, planning dean of Kaiser Permanente School of Medicine, has received the 2016 Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership.


Ascension creates international unit to expand overseas
Thursday, August 04, 2016 12:14 PM
Ascension Holdings International will focus on diversifying the Catholic system's financial platform to other countries.


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Thursday, 4 August 2016

Modern Healthcare Breaking News

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Hospitals approve of delay in changes to disproportionate-share payments
Wednesday, August 03, 2016 4:24 PM
The CMS noted in a final rule that concerns from commenters have caused the agency to delay plans to use Medicare cost reports for calculating disproportionate-share payments to safety net hospitals.


DOJ says Aetna, Anthem merger deadlines can't impede trial dates
Wednesday, August 03, 2016 4:18 PM
The Department of Justice is pushing for February trial dates for its looming challenges to Aetna and Anthem's massive health insurance merger deals, and the companies' self-imposed deadlines shouldn't speed up the process.


Banner Health cyberattack impacts 3.7 million people
Wednesday, August 03, 2016 4:18 PM
Banner Health is contacting 3.7 million individuals whose personal information may have been accessed in a cyberattack that began on systems that process credit card payments for food and beverage purchases. The breach then expanded to include...


CMS urges states to use Medicaid to care for disabled at home
Wednesday, August 03, 2016 4:14 PM
The CMS has released guidance that encourages states to use Medicaid funds to keep elderly and physically and mentally disabled beneficiaries at home and in community-based settings instead of nursing homes.


Mark Slyter steps down as Baton Rouge CEO after moment in spotlight
Wednesday, August 03, 2016 3:52 PM
Mark Slyter has abruptly stepped down as CEO of Baton Rouge (La.) General. Slyter joined a national conversation on race relations last month when Baton Rouge General treated one of the three Baton Rouge police officers wounded in an ambush that...


Ohio urology group hack possibly linked to right-wing Ukraine group
Wednesday, August 03, 2016 1:09 PM
A hacker or group of hackers with possible links to a right-wing Ukrainian political faction posted to Twitter and to a Google cloud-based storage area more than a half-million documents, including patient information, from an Ohio healthcare...


Humana banks on Medicare plans as ACA troubles linger
Wednesday, August 03, 2016 12:22 PM
Humana faces a tough legal battle tied to the proposed merger with Aetna and sizable losses from its Affordable Care Act plans. Yet, the health insurer was able to record large profits in the second quarter due primarily to its Medicare plans.


CHS now selling 12 hospitals, two more than originally planned
Wednesday, August 03, 2016 12:16 PM
Community Health Systems is now negotiating to sell 12 hospitals, two more than were being shopped in May. They are expected to bring $850 million in net proceeds versus the $530 million estimated for the first 10, CHS CEO Wayne Smith said Wednesday.


Hospitals face record penalties as CMS expands criteria for readmissions fines
Wednesday, August 03, 2016 12:12 PM
The financial penalties would start to hit hospitals in October, but they would be based on readmissions for the three-year period ended June 2015.


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Wednesday, 3 August 2016

Modern Healthcare Breaking News

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CMS finalizes controversial hospital overpayment cut
Tuesday, August 02, 2016 6:00 PM
The CMS has finalized a controversial 1.5% cut to acute-care hospital reimbursement. The reduction is meant to recoup a total of $11 billion in overpayments tied to incorrect coding.


Private insurers see 3,200% increase in claims related to opioid dependence
Tuesday, August 02, 2016 2:54 PM
The number of claims made to private health insurers that include a diagnosis of opioid dependence rose by more than 3,200% in the past decade, according to a report released Tuesday.


Advocate, NorthShore say FTC can't win merger battle appeal
Tuesday, August 02, 2016 1:31 PM
Advocate Health Care and NorthShore University HealthSystem say the Federal Trade Commission has no economic or factual basis to continue challenging a proposed merger between the two systems.


CHS posts $1.43 billion loss on massive write-down of assets
Tuesday, August 02, 2016 1:28 PM
Community Health Systems posted an eye-popping $1.43 billion loss from continuing operations in the second quarter as the hospital giant took a $1.42 billion noncash write-down of goodwill of its assets. Revenue, admissions, cash and adjusted EBITDA...


Aetna may pull back from health exchanges
Tuesday, August 02, 2016 1:25 PM
Aetna announced Tuesday an about-face on plans to expand its presence on public healthcare exchanges. It is also re-evaluating its participation on 15 state exchanges. The announcement comes on the heels of the Justice Department's challenge to...


Retail pharmacies say Express Scripts stole prescriptions and profits
Tuesday, August 02, 2016 12:30 PM
Five retail pharmacies are suing Express Scripts for allegedly using its pharmacy benefit management business to pilfer billions of dollars of high-profit prescriptions and patients for its mail order pharmacy.


Doctors fear recent Zika cases will bring flood of worried patients
Tuesday, August 02, 2016 12:28 PM
Health professionals worry the first locally transmitted cases of Zika virus within the continental U.S. will cause an unnecessary increase in patient visits that could delay care for those with more severe conditions.


Christus St. Michael team tackles millennial workforce transition
Tuesday, August 02, 2016 12:21 PM
With millennials now the largest age group in the workforce, health systems need to learn more about what makes them tick, a father and daughter team told attendees Tuesday at the Modern Healthcare Women Leaders in Healthcare conference.


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Tuesday, 2 August 2016

Modern Healthcare Breaking News

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Big business doubts savings from hospital mergers
11:22:31 AM
Large employers think hospital mergers may lead to more consistent care and service and better administrative efficiency, but they aren't buying that consolidation will lower medical costs or raise quality.


Tenet absorbs $514 million kickback settlement, Q2 earnings miss
Monday, August 01, 2016 7:37 PM
Tenet Healthcare continued a string of financial misses Monday by posting a $44 million net loss on continuing operations in its second quarter, while agreeing to settle an Atlanta kickback case that was hanging over it.


Appeals court refuses to delay Evergreen Health's ACA risk adjustment payment
Monday, August 01, 2016 6:28 PM
A federal appeals court has ruled that Evergreen Health Cooperative must pay its $24.2 million Affordable Care Act risk adjustment payment while it challenges the payment methodology.


Florida Zika cases prompt CDC's first travel warning in U.S.
Monday, August 01, 2016 5:00 PM
The CDC has issued its first travel advisory warning for the continental U.S., warning pregnant women to avoid travel to the Miami-Dade County area after Florida health officials reported 14 locally transmitted cases of the Zika virus.


Medicare payments don't reflect actual uncompensated-care costs
Monday, August 01, 2016 3:15 PM
The CMS' current formulas for determining uncompensated-care payments for hospitals aren't pinned to the actual costs the facilities incur, a new government watchdog study says.


CMS selects markets for new primary-care payment initiative
Monday, August 01, 2016 3:15 PM
The CMS has revealed where it plans to launch the forthcoming Comprehensive Primary Care Plus initiative. There had been concern the model wasn't going to move forward because of lack of payer interest.


CMS extends ban on new home healthcare agencies in select markets
Monday, August 01, 2016 12:53 PM
The CMS has extended a moratorium on new Medicare home-healthcare agencies and ambulance suppliers in some states. It's part of an ongoing effort to curb fraud.


Will patients heed hospitals' star ratings?
Monday, August 01, 2016 12:42 PM
After CMS released its star ratings for overall hospital quality, how well those rankings will serve patients remains murky.


Premier becomes preferred GPO for America's Essential Hospitals
Monday, August 01, 2016 12:38 PM
Premier will become the preferred group purchasing organization for the 275 hospitals that comprise America's Essential Hospitals.


Engineering firm Mazzetti merges with health IT consultant GBA
Monday, August 01, 2016 12:17 PM
The San Francisco-based engineering and design firm Mazzetti and Nashville-based healthcare IT consultant GBA, have merged and become Mazzetti GBA. A merger allows the companies to more quickly adapt technology and IT integration "to help clients...


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